16 - Prescribing Flashcards
1
Q
Steps before writing a prescription
A
make a diagnosis
-from symptoms and history
Make a therapeutic decision
-treatment goals
Choose a medication
- efficacy (many factors involved - age, sex, pregnancy, genetics ect)
- safety (allergy, adverse effects, other drug interactions)
- appropriateness (cost, compliance)
Choose dosing regimen
- route -IV, oral, skin patches ect.
- dose - population, group, individual
2
Q
What info needs to be on prescription
A
Doctors name, signature, address, MCNZ registration number, phone number
Patients name, address, age if under 13
Name of medication
Formulation
strength
3
Q
After prescription
A
- Counsel patient (name, dose, how it works, reason, adverse effects, food and drink, follow up, give addition info)
- Monitor response (what parameters can be measured, how often) - clinical response, biomarkers, drug conc
- Review the medication - (efficacy and safety- desired effects, adverse effects, appropriateness (clinical changes, changes in medication), patient view (knowledge, understanding, adherence)
